NCBI STATPEARLS + PUBMED + OPEN-I VERIFIED SEED TAXONOMY
Medipaedia.org Master Clinical Topic Taxonomy (By Specialty & ICD-10/11)
Standardized 10-Section High-Yield Clinical Reference Matrix across 19 Medical Specialties with verified ICD-10/11 codes, Classic Triads, Gold-Standard Diagnostic Tests, and First-Line Treatment Protocols.
All 19 Specialties (60)CardiologyRespiratoryGastroenterology & HepatologyNephrology & UrologyNeurologyEndocrinology & MetabolismHaematology & OncologyInfectious DiseasesRheumatology & ImmunologyEmergency Medicine & Critical CareGeneral & Specialty SurgeryPaediatricsObstetrics & GynaecologyDermatologyPsychiatryOphthalmology & ENTPathology & Laboratory MedicineMusculoskeletal & TraumaRadiology & Medical Imaging
| # | Topic, Specialty & ICD-10/11 | Classic Triad / Key Presentation | Gold-Standard Diagnostic Test | First-Line Treatment Protocol | Status |
|---|---|---|---|---|---|
| 51 |
Neuroleptic malignant syndrome
ICD-10: G21.0
ICD-11: 8A04.4
Psychiatry
|
FEVER Mnemonic after dopamine D2 antagonist (Haloperidol/Olanzapine) or dopamine withdrawal: Fever (>38.5โ40ยฐC) + Encephalopathy (delirium/stupor) + Vitals unstable (autonomic lability/tachycardia/diaphoresis) + Elevated enzymes (CK >1,000โ100,000 IU/L) + Lead-pipe muscle Rigidity (hyporeflexia) | Clinical diagnosis (DSM-5 / Levenson Criteria) + Markedly elevated Serum Creatine Kinase (CK), leukocytosis, metabolic acidosis, and urine myoglobin (to monitor for rhabdomyolysis-induced AKI) | Immediate cessation of causative antipsychotic (or restart dopaminergic agent if withdrawal-induced) + ICU supportive cooling & aggressive IV crystalloid hydration + IV Dantrolene (1โ2.5 mg/kg) + Oral Bromocriptine (dopamine agonist) or Lorazepam | โ Published (mID 10052) |
| 52 |
Serotonin syndrome (Hunter criteria)
ICD-10: G92.0
ICD-11: NE60
Psychiatry
|
Rapid-onset (<24h) Classic Triad after serotonergic drug (SSRI + MAOI/Tramadol/Linezolid/MDMA): Neuromuscular hyperactivity (spontaneous/inducible ankle clonus, hyperreflexia, tremor) + Autonomic hyperactivity (hyperthermia, diaphoresis, mydriasis, tachycardia) + Altered mental status (agitation/delirium) | Hunter Serotonin Toxicity Criteria (clinical diagnosis in the presence of a serotonergic agent + inducible/spontaneous/ocular clonus, agitation, diaphoresis, tremor, and hyperreflexia) | Stop all serotonergic agents immediately + Benzodiazepines (IV Lorazepam/Diazepam for agitation, tremor, and hyperthermia) + IV fluids & active cooling + Serotonin 5-HT2A antagonist Cyproheptadine (12 mg PO/NG stat then 2 mg q2h) in moderate-to-severe cases | โ Published (mID 10053) |
| 53 |
Delirium tremens (alcohol withdrawal delirium)
ICD-10: F10.231
ICD-11: 6C40.4
Psychiatry
|
Onset 48โ96 hours after last alcohol drink: Global confusion & terrifying visual/tactile hallucinations (formication / Lilliputian hallucinations) + Severe autonomic hyperactivity (fever, profuse diaphoresis, tachycardia, hypertension) + Coarse tremor / generalized tonic-clonic withdrawal seizures | Clinical assessment using CIWA-Ar Score (โฅ20 indicates severe withdrawal) + Serum Electrolytes (correct hypomagnesaemia, hypokalaemia, and hypophosphataemia), glucose, and LFTs | Symptom-triggered or front-loaded long-acting Benzodiazepines (Oral Chlordiazepoxide or IV Diazepam; use Lorazepam/Oxazepam in severe hepatic cirrhosis) + High-dose parenteral IV Thiamine (Pabrinex) BEFORE glucose + Magnesium/potassium replacement | โ Published (mID 10054) |